Healthcare Provider Details

I. General information

NPI: 1851282925
Provider Name (Legal Business Name): ADRIENNE ADAMS LMHC-D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 01/11/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 FULTON ST
BROOKLYN NY
11217-1517
US

IV. Provider business mailing address

650 FULTON ST
BROOKLYN NY
11217-1517
US

V. Phone/Fax

Practice location:
  • Phone: 718-596-9800
  • Fax:
Mailing address:
  • Phone: 718-596-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number013505-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: